Inspection on 24/11/05 for Highwood

This inspection was carried out on 24th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Highwood 18/09/06

Highwood 25/05/05

Highwood 10/01/05

Highwood 05/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Highwood 5 Pashley Road Eastbourne East Sussex BN20 8DU Lead Inspector Gwyneth Bryant Announced Inspection 24th November 2005 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Highwood Address 5 Pashley Road Eastbourne East Sussex BN20 8DU Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01323 729050 Mr Marcus Samuel Gudgeon Mrs Jennifer Gudgeon Mr Marcus Samuel Gudgeon Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users accommodated must not exceed three (3). Service users must be older people aged sixty-five (65) years and over on admission. 25th May 2005 Date of last inspection Brief Description of the Service: Highwood is a Christan home that is situated in a quiet residential road in Eastbourne. It is the family home of the Manager, her husband and children and is registered to provide care and accommodation for up to three older people. Service users accommodation is on the first floor in spacious single rooms with en-suite bathrooms. There is a reception room on the ground floor, overlooking the front garden. Both the front and rear gardens are fully accessible to service users. This room comprises the dining room and lounge. Visitors are welcomed at all reasonable times. A stair lift allows easy access to the first floor. There is a separate bathroom on this floor with a hoist, should service users prefer to have an assisted bath. Mrs Gudgeon, the Manager provides all the care in the home while her husband, who holds a catering qualification, provides a variety of home cooked meals. Transport is provided to the local church, shops and the seafront whenever possible. Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should note that due to the size of this home a number of standards relating to staff and staff training are not applicable as the Manager and her husband provide all care to service users. This was an announced inspection and took place over 1.5 hours. There were two service users in residence on the day. The purpose of the inspection was to check compliance with the regulations. The Manager, her husband and one service user were spoken with. A tour of the premises was carried out and a range of documentation viewed including care plans, daily diary and policies and procedures. Both service users returned comment cards and were highly complimentary about the home and services provided as was the comment card returned by a relative. Those standards not inspected were included in the inspection undertaken on 25 May 2005. What the service does well: What has improved since the last inspection? What they could do better: The home already meets the relevant National Minimum Standards and exceeds those in respect of bedroom sizes and bathing facilities. Therefore the home could look at a means to exceed additional standards. Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3 Service users benefit from clear information of their terms and conditions of residence. The pre-admission process ensures the home can meet service users needs. EVIDENCE: Each service user has a contract that outlines their terms and conditions ensure they are clear about services offered by the home. The home has not had any permanent admissions since the last inspection, however there have been three admissions for respite care. The pre-admission documents and care plans for these admissions was viewed and found to be satisfactory. Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 The care planning system is clear and consistent and includes the information needed to meet service users needs. Service users healthcare needs are fully met and their privacy and dignity is protected. EVIDENCE: Care plans for the two permanent service users and for those admitted for respite. Due to the low dependency of service users in the home the plans are brief but still include all relevant information in respect of service users care needs. Discussion with a service user found that she is happy with the care given and feels all her needs are fully met. Service users self medicate but the manager has medication administration charts should the situation change. She is also aware of the need to ensure medication always available to service users and that it needs to be stored securely. The ethos of the home is to promote service users independence and includes reference to privacy and dignity. The service user spoken with spoke highly of the care given and confirmed that she feels respected at all times. Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 10 Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 and 15 Service users are actively encouraged to exercise choice over their daily lives. The meals in this home are good offering both choice and variety and catering for special dietary needs. EVIDENCE: Routines of the home are flexible and service users are encouraged to continue with past and present activities. One the day one service user was attending her usual community activity. The other service user spoken with clearly demonstrated that she is given every opportunity to manage all aspects of her daily life. She mentioned that she intends to visit family at Christmas and that she goes shopping in the town. Menus are changed regularly and service users encouraged to suggest changes based on their individual preferences. The Managers husband has a catering qualification and is knowledgeable about nutritional needs. Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Procedures are in place for dealing with complaints which are made available to service users and their representatives. EVIDENCE: The home has a clear procedure for dealing with complaints of which service users are aware. The Manager or her husband would deal with any complaints. No complaints have been made since the last inspection. Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 Satisfactory systems of infection control are in place to protect service users and staff. EVIDENCE: On the day of the inspection the home was clean and satisfactory systems in place to control the risk of infection. The laundry was clean and tidy with washing machines that wash soiled laundry at high temperatures. Both the Manager and her husband are aware of infection control procedures. Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 29 Care hours provided by the Manager and her husband is sufficient to meet service users assessed needs. EVIDENCE: The Manager provides any care that service users need, however, this mainly comprises supervision while bathing and occasional additional care if service users are feeling unwell. Her husband provides all meals and transport to the shops and healthcare appointments for service users. The family either takes holidays at the same time as service users or the extended family or suitably skilled friends provide short term staffing. Satisfactory checks have been undertaken for those family members. Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Service users benefit from a well managed home that is run in their best interests. All aspects of service users finances and health and safety are protected. EVIDENCE: The Manager has been managing the home for over ten years. She has undertaken training in first aid, food hygiene and continence promotion. Although it was not a certificated course the Manager has undertaken some training to update her knowledge of good practice for urology awareness since the last inspection. Discussions with service users are now recorded in the homes daily diary to inform the quality assurance process and demonstrate that they are consulted and their views listened to. The service user spoken with verified that she is consulted on a regular basis. Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 16 Service users are responsible for their own finances if appropriate or relatives and solicitors would do so, while the home does not handle the financial affairs of service users. When items are purchased on behalf of service users receipts are obtained and satisfactory records maintained. Central heating systems and electrical systems and appliances are serviced annually, as are call bell systems. Satisfactory risk assessments have been undertaken in respect of the environment and fire safety. Where Control of Substances Hazardous to Health regulations apply the Manager seeks advice from the manufacturer or ensures such substances are not available to service users. Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X X 3 STAFFING Standard No Score 27 N/a 28 N/a 29 3 30 N/a MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 N/a 3 X 3 N/a x 3 Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Highwood DS0000021360.V252566.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!